NPIMap

Individual provider Active NPI

Jamila Devora Rouse, FNP

  • Family Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1083245476
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5012888 Issued in NC
Practice address
6387 Ramsey St Unit 210
Fayetteville, NC 28311-9442
Phone
(910) 615-3920
NPI assigned
Feb 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 269886 NC
Family Nurse Practitioner 363LF0000X 5012888 NC Primary

Addresses

Primary practice location

6387 Ramsey St Unit 210
Fayetteville, NC 28311-9442

Mailing address

PO Box 40908
Fayetteville, NC 28309-0908
Phone (910) 615-6949

Other practice location 1

405 S Main St
Raeford, NC 28376-3222
Phone (910) 615-5800

Other practice location 2

1565 Purdue Dr Ste 301
Fayetteville, NC 28303-5537
Phone (910) 615-3060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200513000566 NC Practitioner - Nurse Practitioner 4981035656 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Family PhysiciansGroup PAC ID 5193784494, 3 clinicians

Practice addresses (Care Compare)

6387 Ramsey St
Unit 210
Fayetteville, NC 28311-9442
Phone (910) 615-3920

Hospital & facility affiliations

  • Well Care Home Health of the Southern Triangle, Inc. Home health agency, Holly Springs, NC, CCN 347336
  • Cape Fear Valley Medical Center Hospital, Fayetteville, NC, CCN 340028
  • Cape Fear Valley Hoke Hospital Hospital, Raeford, NC, CCN 340188
  • Betsy Johnson Regional Hospital Hospital, Dunn, NC, CCN 340071
  • Highsmith Rainey Memorial Hospital Long-term care hospital, Fayetteville, NC, CCN 342014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
269886NCMDNurse Practitioner
5012888NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System Inc Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince Mar 15, 2020 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Mar 15, 2020 Accepting new patients
Bladen Healthcare, LLC Past Accepting new patients
Cumberland County Hospital System Inc Past Accepting new patients

Locations

1565 Purdue Dr
Ste 301
Fayetteville, NC 28303
Phone (910) 615-3060

6387 Ramsey St
Unit 210
Fayetteville, NC 28311
Phone (910) 609-3920

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

405 S Main St
Raeford, NC 28376
Phone (910) 615-5800

Interoperability endpoints

  • Direct secure messaging: jrouse11948@capefearvalley.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1083245476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40908",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283090908",
            "telephone_number": "910-615-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6387 RAMSEY ST UNIT 210",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283119442",
            "telephone_number": "910-615-3920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 S Main St",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283763222",
            "country_code": "US",
            "telephone_number": "910-615-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1565 Purdue Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283035537",
            "country_code": "US",
            "telephone_number": "910-615-3060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUSE",
        "first_name": "JAMILA",
        "middle_name": "DEVORA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "269886",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.